Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 04659 | Date 31/07/2023 |
| Token No | SM/22-23/11130 31/07/2023 | Serial | 027 |
| Patient Name | Mr. NATU MONDAL | Contact No | 8695277774 |
| Address | B B GHOSH ROAD SERAMPORE 712203 | Age | 42 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||